THE EFFECTS OF DIET THERAPY ON CLINICAL AND BIOCHEMICAL PARAMETERS AND BODY COMPOSITION IN OVERWEIGHT

Abstract

Background: Only medical nutrition therapy and physical activity can be used for treatment of the group 2 (p > 0.05). The fat mass in children of the group 1 decreased from 44.4% [39.1; 48.3] to Department of Pediatric Gastroenterology, Hepatology, and Nutrition1; Assistant, Chair of Dietetics and2obesity in children. In many cases, it is reasonable to start treatment in a hospital. Aim: To assess changes of clinical and biochemical parameters and body composition with diet therapy in overweight and obese children in an in-patient department. Materials and methods: We examined 537 children with obesity aged 13 years [11; 14] (group 1) and 104 overweight children aged 13 [12; 14] years (group 2). Anthropometric parameters, body composition by means ofbioimpedance measurement, clinical chemistry 43.1% [37.9; 47.7] (p < 0.001), in group 2, from 33.8% [31.1; 38.5] to 32.6% [30; 36.7] (p = 0.017). The lean mass decreased in 86.2 and 93.7% of patients, respectively. There were significant reductions on the levels of serum total cholesterol, low density lipoproteins, triglycerides, high density lipoproteins and increase in uric acid, compared to their respective baseline values. Conclusion: During the in-hospital treatment period obese children show improvements of nutritive status, Nutrition, Postgraduate Training FacultyPavlyuchkova Mariya S. – PhD, Dietologist1parameters of lipid and carbohydrate metabolism significant reduction of fat body mass with were assessed at baseline and at the end of treatment. Duration of hospital stay was 14 days. The children were on a diet with a reduced caloric, fat and carbohydrate content. Results: The bodymass decreased by 5.7% [4.5; 6.9] from baseline in the group 1 and by 5.3% [3.8; 7.5] in concomitant decrease of lean mass due to a rapidbodyweight reduction.

Keywords

• children
• obesity
• overweight
• treatment
• dyslipidemia
• body composition